Provider Demographics
NPI:1114131570
Name:VARGAS, SINDY YADIRA (RN)
Entity Type:Individual
Prefix:MRS
First Name:SINDY
Middle Name:YADIRA
Last Name:VARGAS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1565
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-1565
Mailing Address - Country:US
Mailing Address - Phone:787-214-2854
Mailing Address - Fax:
Practice Address - Street 1:UPR MAYAGUEZ
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00681-9039
Practice Address - Country:US
Practice Address - Phone:787-832-4040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR26822163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse